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Home My WebLink About69087D - Sharky's■ vp opgoXyet+m ae9L=ltuisVop90X)eVWjZoeSL=LWB)ooqui=#4aJeaSW=MainvgWgWLBOe=�NBZ=mL/l/nll!ewftuoaa�oo6Ilew AMA / REDGE & FILL Nn 69087 A B C ENE L PERMIT Previous permit # 0$tS3�E i �O3ri`31U:Si_"c ^�,st`: ,:, ;5V is ithorized by the State of north Carolina. Department of Environment and Natural Resources he Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 6 7 11 - 1F 50 i icant Name 1, G1 r F-t� t h L , L/b V--'011 t -6 yyl a Rutes attached. S Project Location: County �jA/`,/wiA1l _ ess __Ist� _ _ _ Street Address,( State Road! Lot #(s) State e # (91a )0q� ii Sty --- 1_. E-Mail . �1 t�V Subdivision prized Agent A' l U � _-. City �'wh J�]!LZIP�� rcrf Cvl/ iiEW PTA -ES rPTS Phone # ) River Basin -VKA1;, GI s� __I Pws: Ad'. Wtr. Body _(nat / (g, yes / PNA yes / o Closest Maj. Wtr. Body.-.. LY_VV of Project/ Activity (dock) length _ /1..I.S. •—_ _ } t�' d Platform(s) tingPlatform(s) er pier(s) tit length rd ar i lJ i Q* 0`3 ` Ile hehead/RipraP sth NG mCil Lv kklr avg distance offshore max distance offshore % r i. channel rJ-O)eIGX`�'_q �, l fi4 %1 I 1 r ' ''t"' fox' 6 r-a.) 65x� ^- a10 Lu- Y 414 s ramp louse/ Boadift i Bulldozing ot j17 _ — _ = f - dine Length zoo not sure yes rU �,A yes wAaached: yes (� �I Iding permit may be required by: :e Local Planning Jurisdiction) _ �(}1,ti'iy1 f7 r n�Q�jl�� •C �j{GtC y 1 _See note on back regarding River Basin rules. �� c,,e.:�t r....a.f:.,.,� _�-v �t5 67 �� .iQii � At i �1 �4'' Sa•L j� NC Division of Coastal Mgt. Habitat Impact Coml Applicant: - Date: O 5/O&- o o Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet M (Applied for. (Anticipated final (Applied for. (An DISTURB TYPE Disturbance total disturbance. Disturbance disl Habitat Name Choose One includes any Excludes any total includes Exc anticipated restoration any anticipated res restoration or and/or temp restoration or terr temp impacts) impact amount temp impacts) am 56 DredgeJ4 Fill ❑ Both ❑ Other ❑ 1 I v Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ OCEAN ISLE BEACh >!: ..r [ ' ! O V_ r• I t" A CQ N P—A i-�41t r i S a Yew �c-r�A L.. i kA -� ! s 6c i � l� dt 5�c v4- � � 5�t c�. + L re awzk w A5A-e fc's41— S,--e T4ew- LAu�, D44c s- a- t, Tke 6,.> j i 1,'14 nn -5c ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �— .S . Vic_ s property located at C� ,� (Na of Propert r e �,t �' , (Addr ss, Lot, Blo c, Road, etc.)_ on in �� N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatic I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back minimum distance of 15' from my area of riparian access unless waived by me. (if you wish to wai the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Inf rryation) (Adjacent Property Owner Information) Signature Print or Type Name 7016 1970 0001 0657 2729 f-. ❑❑❑❑❑.Kim Ni 0l - o o m -�.EE Z 3 m m 7o a- W b w m P xl m z" , i 2 .t. n o m � 7016 1970 0001 0657 2736 ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, ' or on the front if space permits. 1. Article Addressed to A. Signature ` ^�, ❑ Agent f V V ❑ Addresse B ived by (Printed N me) Dat o Dellr D. Is delivery address different fr' a 17 ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Adult Signature ❑ Priority Mail Express® lI I'IIIII IIII I'l l li li II III II' I'III I Il I I lI I III 0 Adult Signature Restricted Delivery ❑ Registered Mail- ❑ Registered Mall Restricts 9590 9402 1364 5285 9102 11 ID Certified MailO Certified Mail Restricted Delivery Delivery ❑ Return Receipt for 2• 7016 ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery Merchandise ❑ Signature ConfiWnrmati 19 7 0 0 0 01 0 6 5 7 2 7 2 9 Cl Signature Confirmation Restricted Delivery Restricted Delivery r-o r-orm .3o 1 1, July 2015 PSN 7530-02-000-9053 ■ Complete items 1, 2, and 3. ■ Print yni it name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 1I11111111111111111IIII 111111I1111111111111111 9590 9402 1364 5285 9102 04 Domestic Return Receipt mmm",— COMPLETE THIS SECTION dNDEL1V4f?V A. Signature x ❑ Agen ❑ Addn B. Received by (Printed Name) C. Date of De D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No ❑ Adult Signature ❑ Adult Signature Restricted Delivery ❑ Certified Mail® ❑ Certified Mail Restricted Delivery ❑ Priority Mail Express ❑ Registered Mail- ❑ Registered Mall Res Delivery 0 Return Receipt for t7 \IL V ruf vv��/ / - / 0 I ?1C� ?WV� ��r�